Mrs. Courtney Chavis Odom is a Mc Coll, South Carolina based nurse practitioner with 4 years of experience in . She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Courtney Chavis Odom is 25309 for Family in South Carolina. Her current practice location is 3080 Highway 15-401 E, Mc Coll. Patients can reach her at 843-523-5751 or can fax her at 843-523-6040. Mrs. Courtney Chavis Odom is FNP-C and her NPI number (Unique professional ID assigned by NPPES) is 1962095612. Mrs. Courtney Chavis Odom has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Courtney Chavis Odom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Courtney Chavis Odom
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP-C
Experience:
4+ years
Medical School Attended:
Other
Graduation Year:
2021
Accepts Medicare Assignment:
Yes
Practice Address:
3080 Highway 15-401 E, Mc Coll, South Carolina, 29570-6128
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8426447376
Enrollment ID:
I20220610001856
NPI Number:
1962095612
NPI Enumeration Date:
13 Feb, 2021
NPI Last Update On:
09 Mar, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Courtney Chavis Odom are as mentioned below.
License Number
Specialization
State
Status
25309
Family
South Carolina
Primary
225769
Registered Nurse
South Carolina
Secondary
5015042
Family
North Carolina
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Courtney Chavis Odom is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Caresouth Carolina Inc. (1052221314)
37
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Courtney Chavis Odom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NP8401
Medicaid
South Carolina
SCM901
Other
South Carolina
MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Courtney Chavis Odom Po Box 1090, Hartsville, South Carolina
Zip:
29551-1090
Phone Number:
843-857-0111
Patients can reach Mrs. Courtney Chavis Odom at 3080 Highway 15-401 E, Mc Coll, South Carolina or can call to book an appointment on 843-523-5751.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.